Salt Lake Utah Solicitud de Contabilidad de Divulgaciones de Información de Salud Protegida - Request for Accounting of Disclosures of Protected Health Information

• Category: Confidencialidad y no divulgación - Contratos - Información de salud protegida (HIPAA)
• State: Multi-State
• County: Salt Lake
• Control #: US-3581
• Format: Word

Description

This form is used by an individual to request an accounting of the persons or entities to whom the individual's protected health information has been disclosed. Permitted exclusions from the accounting are also described. Salt Lake City, Utah is the capital and largest city of Utah, located in the western part of the state. It is known for its stunning natural surroundings, including the nearby Great Salt Lake and the Wasatch Mountain Range. A Salt Lake Utah Request for Accounting of Disclosures of Protected Health Information refers to a formal process through which an individual can request a detailed account of how their protected health information (PHI) has been disclosed by covered entities under the Health Insurance Portability and Accountability Act (HIPAA). Under HIPAA, individuals have the right to request an "Accounting of Disclosures" from covered entities that have accessed or shared their PHI. This accounting includes information about who has received the information, the purpose of the disclosure, and when it occurred. There are different types of Salt Lake Utah Request for Accounting of Disclosures of Protected Health Information, which primarily differ based on the entity or healthcare provider involved. Some common types include: 1. Salt Lake City Hospitals: Requests made to hospitals in Salt Lake City, such as Intermountain Medical Center, LDS Hospital, or Salt Lake Regional Medical Center. 2. Salt Lake City Clinics: Requests made to clinics and outpatient facilities in Salt Lake City, such as University of Utah Health Clinics, IOC clinics, or Primary Children's Hospital clinics. 3. Salt Lake City Healthcare Professionals: Requests made to individual healthcare professionals in Salt Lake City, including doctors, nurses, therapists, and other providers. 4. Salt Lake City Insurance Providers: Requests made to insurance companies operating in Salt Lake City, such as Telehealth, University of Utah Health Plans, or Molina Healthcare of Utah. It's important to note that the exact process and requirements for submitting a Salt Lake Utah Request for Accounting of Disclosures of Protected Health Information may vary depending on the covered entity involved. It's recommended to consult the specific entity's website or contact their Privacy Office for detailed instructions on how to request an accounting of disclosures.

Salt Lake City, Utah is the capital and largest city of Utah, located in the western part of the state. It is known for its stunning natural surroundings, including the nearby Great Salt Lake and the Wasatch Mountain Range. A Salt Lake Utah Request for Accounting of Disclosures of Protected Health Information refers to a formal process through which an individual can request a detailed account of how their protected health information (PHI) has been disclosed by covered entities under the Health Insurance Portability and Accountability Act (HIPAA). Under HIPAA, individuals have the right to request an "Accounting of Disclosures" from covered entities that have accessed or shared their PHI. This accounting includes information about who has received the information, the purpose of the disclosure, and when it occurred. There are different types of Salt Lake Utah Request for Accounting of Disclosures of Protected Health Information, which primarily differ based on the entity or healthcare provider involved. Some common types include: 1. Salt Lake City Hospitals: Requests made to hospitals in Salt Lake City, such as Intermountain Medical Center, LDS Hospital, or Salt Lake Regional Medical Center. 2. Salt Lake City Clinics: Requests made to clinics and outpatient facilities in Salt Lake City, such as University of Utah Health Clinics, IOC clinics, or Primary Children's Hospital clinics. 3. Salt Lake City Healthcare Professionals: Requests made to individual healthcare professionals in Salt Lake City, including doctors, nurses, therapists, and other providers. 4. Salt Lake City Insurance Providers: Requests made to insurance companies operating in Salt Lake City, such as Telehealth, University of Utah Health Plans, or Molina Healthcare of Utah. It's important to note that the exact process and requirements for submitting a Salt Lake Utah Request for Accounting of Disclosures of Protected Health Information may vary depending on the covered entity involved. It's recommended to consult the specific entity's website or contact their Privacy Office for detailed instructions on how to request an accounting of disclosures.

Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.